Organization Active NPI

Inner Awakenings Nky

  • Clinical Social Worker
  • Florence, KY
National Provider Identifier
1982434205
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INNER AWAKENINGS NKY
Practice address
71 Cavalier Blvd Ste 103
Florence, KY 41042-5166
Phone
(513) 391-1403
NPI assigned
Aug 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jayme Lee Linville BegleyNPI 1871189431
Title
Owner
Phone
(513) 391-1403

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

71 Cavalier Blvd Ste 103
Florence, KY 41042-5166

Mailing address

71 Cavalier Blvd Ste 103
Florence, KY 41042-5166
Phone (513) 391-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250425001039 KY Part B Supplier - Clinic/Group Practice 3971029695 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, KY

National Provider Directory

National Provider Directory

Locations

71 Cavalier Blvd
Ste 103
Florence, KY 41042
Phone (513) 391-1403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1982434205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CAVALIER BLVD STE 103",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425166",
            "telephone_number": "513-391-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CAVALIER BLVD STE 103",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410425166",
            "telephone_number": "513-391-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER AWAKENINGS NKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "LINVILLE BEGLEY",
        "authorized_official_first_name": "JAYME",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-391-1403"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.